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Ventricular ArrythmiaNCT04809701

Non-vascular ICD Electrode Configuration Feasibility Study

A study testing Temporary implantation of defibrillation coils and pulse generator, Defibrillation following induction of VA (Configuration A first) and Defibrillation following induction of VA (Configuration B first) in people with Ventricular Arrythmia, run by Abbott Medical Devices at 3 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is designed to evaluate the energy requirements of two different Nonvascular ICD (NV-ICD) electrode configurations for achieving successful defibrillation of ventricular arrhythmias. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Ventricular Arrythmia
What is being tested?
Temporary implantation of defibrillation coils and pulse generator, Defibrillation following induction of VA (Configuration A first) and Defibrillation following induction of VA (Configuration B first)
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
3 sitesin 3 countries
Study dates
22 Mar 2021to 24 Mar 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient that is scheduled to undergo surgery requiring midline sternotomy or implantation of a commercially-available TV-ICD or S-ICD system per local guidelines
  • Patient must be at least 18 years of age
  • Subject must provide written informed consent prior to any clinical investigation-related procedure.

Who cannot join

  • Pacemaker dependency
  • Chronically implanted cardiac implantable electronic device or other device which delivers an electrical current
  • Currently taking amiodarone or a Class IC antiarrhythmic drug
  • Hypertrophic cardiomyopathy
  • Anticipated high risk of stroke
  • Anticipated high surgical risk or risk of infection
Show all 15Show fewer
  • Severe aortic stenosis
  • Severe proximal three vessel coronary disease (over 70% in each vessel)
  • Greater than 50% left main stem disease
  • Prior surgery or anatomical abnormality that significantly increases implant risk per physician's discretion
  • Medical conditions that preclude defibrillation testing
  • Chronic renal insufficiency including patients on dialysis
  • Subject is currently participating in another clinical investigation.
  • Pregnant or nursing subjects and those who plan pregnancy during the clinical investigation follow-up period.
  • Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with the 1-month phone follow-up requirements of the clinical investigation results.

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

Chile1 site
  • Hospital Clínico Regional de Concepción

    Concepción, Biobio

Other trials in Chile

Czechia1 site
  • Na Homolce Hospital

    Prague, 15000

Other trials in Czechia

Paraguay1 site
  • Centro de Intervenciones Endovasculares y Cirugía Cardiovascular

    Asunción, Asuncion

Other trials in Paraguay

About this study

Official title: Evaluation of Different Defibrillation Electrode Configurations for Development of a Non-vascular ICD

This study is designed to evaluate the energy requirements of two different Nonvascular ICD (NV-ICD) electrode configurations for achieving successful defibrillation of ventricular arrhythmias.

Being tested
Temporary implantation of defibrillation coils and pulse generator, Defibrillation following induction of VA (Configuration A first), Defibrillation following induction of VA (Configuration B first), Removal of defibrillation coils and pulse generator

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Temporary implantation of defibrillation coils and pulse generatorProcedure or surgery

    Each subject will undergo temporary implantation of defibrillation coils and pulse generator according to the NV-ICD electrode configurations.

  • Defibrillation following induction of VA (Configuration A first)Procedure or surgery

    Ventricular arrhythmia (VA) will be induced via an EP catheter placed in the right ventricle. After VA is confirmed, a defibrillation shock will be attempted to terminate the arrhythmia. Up to two defibrillation energies will be tested for Configuration A. Then up to two defibrillation energies will be tested for Configuration B.

  • Defibrillation following induction of VA (Configuration B first)Procedure or surgery

    Ventricular arrhythmia (VA) will be induced via an EP catheter placed in the right ventricle. After VA is confirmed, a defibrillation shock will be attempted to terminate the arrhythmia. Up to two defibrillation energies will be tested for Configuration B. Then up to two defibrillation energies will be tested for Configuration A.

  • Removal of defibrillation coils and pulse generatorProcedure or surgery

    Defibrillation coils and pulse generator will be removed from the subject after the defibrillation tests are completed.

Study groups in NCT04809701
Study groupRoleWhat they receive
Configuration A firstExperimentalSubjects receive the test of Configuration A first and Configuration B second.
Receives: Procedure: Temporary implantation of defibrillation coils and pulse generator; Procedure: Defibrillation following induction of VA (Configuration A first); Procedure: Removal of defibrillation coils and pulse generator
Configuration B firstExperimentalSubjects receive the test of Configuration B first and Configuration A second.
Receives: Procedure: Temporary implantation of defibrillation coils and pulse generator; Procedure: Defibrillation following induction of VA (Configuration B first); Procedure: Removal of defibrillation coils and pulse generator

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The rate of successful defibrillation of induced VA using each of the two NV-ICD electrode configurations

    Successful defibrillation is defined as termination of the induced VA to sinus rhythm or other non-life threatening ventricular or escape rhythm (such as atrial fibrillation) as determined by the implanting physician.

    Measured: During the study procedure

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Mar 2021
  2. Study start22 Mar 2021
  3. Primary completion7 Dec 2021
  4. Study completion24 Mar 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04809701
Sponsor's protocol ID
ABT-CIP-10369
Status last verified
Oct 2022
First submitted
17 Mar 2021
Last updated
12 Oct 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Temporary implantation of defibrillation coils and pulse generator, Defibrillation following induction of VA (Configuration A first) and Defibrillation following induction of VA (Configuration B first) in people with Ventricular Arrythmia, run by Abbott Medical Devices at 3 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Chile, Czechia, Paraguay. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The rate of successful defibrillation of induced VA using each of the two NV-ICD electrode configurations (time frame: During the study procedure). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Oct 2022.

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